New investment activity in Specialty Care providers continues to further extend the consolidation trend into new specialties beyond the popular sectors of dental, vision and ophthalmology, and dermatology. Investors are seeking acquisitions to integrate ancillaries into their practices. Strategic buyers and physician management companies with true operating platforms and value-based care capabilities are out competing financial buyers in provider group acquisitions competing on growth potential and performance. This trend is pushing activity into lower acuity specialties such as physical therapy and pain management.  Behavioral health has been particularly active as providers seek ways to deliver access and patient outcomes. Consolidation among Senior Living operators and Home Health and Hospice providers is thriving as companies seek to integrate the patient referral chain.